Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEATON CROCKETT, PHARMD
ActiveAmbulatory Care Pharmacist · LOGAN, UT
Registration Details
- NPI Number
- 1932867272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2021 (4.382852559472 yrs)
- Last Updated
- Dec 3, 2021
- License
-
8436287-1701 (UT)
Practice Information
- Address
-
1350 N 500 ELOGAN, UT, 843412400Browse UT providers · Browse ZIP 84341
- Phone
- 4357161980
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.